﻿@section head{
<script>
    $(function myfunction() {
        SetTitle("分销商申请单")
    })
</script>
}
<div class="news">

    <h2>分销介绍</h2>
    <h3>1、发展下线拿佣金</h3>
    <p><img src="~/medias/img/banner2.png" /></p>
    <p>只要通过你的分销链接关注我们的公众号就能成为你的下线，下线消费上线可以拿到佣金</p>
</div>
<div class="form m-t-10">
    <ul>
        <li>
            <p>申请人<span class="redFont">*</span></p>
            <input type="text" placeholder="请填写姓名" />
        </li>
       
        <li>
            <p>联系电话<span class="redFont">*</span></p>
            <input type="text" placeholder="请填写电话号码" />
        </li>
        <li>
            <p>验证码<span class="redFont">*</span></p>
            <input type="text" placeholder="请输入验证码" />
            <button class="verify">获取验证码</button>
            @*<button class="verify disabled">再次获取（60s）</button>*@
        </li>
        <li>
            <p>身份证</p>
            <input type="text" placeholder="请填写身份证号码" />
        </li>
        <li class="long">
            <p>地址<span class="redFont">*</span></p>
            <textarea rows="2" placeholder="请填写地址"></textarea>
        </li>
       
        <li class="long">
            <p>备注</p>
            <textarea rows="2" placeholder="内容"></textarea>
        </li>
    </ul>
</div>
<p class="line-height-2 whitebg border-bottom paddingLeft10 marginBottom">
    我是商铺<input class="weui_switch block insuranceChk marginRight10" type="checkbox"></input>
</p>


<div class="view-box">
    <div class="succeed">
        <span>申请成功 </span>
    </div>
    <div class="msg2">
        您已申请成功.您已申请成功您已申请成功您已申请成功您已申请成功您已申请成功您已申请成功您已申请成功您已申请成功您已申请成功您已申请成功您已申请成功
    </div>

</div>
<div class="view-box">
    <div class="failure">
        <span>申请失败 </span>
    </div>
    <div class="msg2">
        您已申请成功.您已申请成功您已申请成功您已申请成功您已申请成功您已申请成功您已申请成功您已申请成功您已申请成功您已申请成功您已申请成功您已申请成功
    </div>

</div>
<div class="footer">
    <a class="btn orangebg">
        <i class="icon iconfont icon-saoma marginRight"></i> 提交申请
    </a>
</div>
<div class="footNav">
    <ul>
        <li>
            <a href="首页.html">
                <i class="icon iconfont icon-shouye"></i>
                <p>首页 </p>
            </a>
        </li>
        <li>
            <a href="#">
                <i class="icon iconfont icon-fenlei"></i>
                <p>分类 </p>
            </a>
        </li>
        <li>
            <a href="国内旅游大类.html">
                <i class="icon iconfont icon-diqiu"></i>
                <p>目的地 </p>
            </a>
        </li>
        <li>
            <a class="orangeFont" href="个人分销中心首页.html">
                <i class="icon iconfont icon-ren"></i>
                <p>个人 </p>
            </a>
        </li>
    </ul>
</div>